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Here is the text we could read:

FW-012-GC

Order on Court Fee Waiver After
Reconsideration Hearing
(Superior Court) (Ward or Conservatee)

(Proposed) guardian or conservator who asked the court to
waive court fees for (proposed) ward or conservatee:
Name:
Street or mailing address:
City:
Telephone:

State:

Zip:

Clerk stamps date here when form is filed.

Lawyer, if person in 1 has one:
Name:
Firm or Affiliation:
Street or mailing address:
City:
E-mail:

(Proposed) ward or conservatee:
Name:
Street or mailing address:
City:
Telephone:

State Bar No:

Fill in court name and street address:
Superior Court of California, County of

State:
Telephone:

Zip:

Court fills in case number when form is filed.
Case Number:

State:

Zip:

Case Name:

Lawyer for (proposed) ward or conservatee, if any:
Name:
Firm or Affiliation:
Street or mailing address:
City:
E-mail:

Telephone:

State:

Zip:

State Bar No:

The court made a previous fee waiver order in this case on (date):

The court sent you a notice to go to court about the fee waiver on (date):

Read this form carefully. All checked boxes are court orders.

There was a hearing on (date):
at (time):
The following people were at the hearing (check all that apply):
Person in 3

in (Department):

Lawyer in 2

Person in
1
Others (names):

Lawyer in

Additional persons present listed on Attachment 7.
After considering the information provided at the hearing, the court makes the following order:
a.

No Change to Fee Waiver. The Order on Court Fee Waiver issued by this court on
remains in effect. No change is made at this time.

(date):

Fee Waiver Is Ended as of (date):
or conservatee was no longer eligible for a fee waiver for the reasons stated:

. The court finds that beginning on that day the ward
Below
On Attachment 8b

5 6

Judicial Council of California, www.courts.ca.gov
Revised September 1, 2019, Mandatory Form
Government Code, § 68636
Cal. Rules of Court, rule 7.5

Order on Court Fee Waiver After
Reconsideration Hearing
(Superior Court) (Ward or Conservatee)

FW-012-GC, Page 1 of 3

Name of (Proposed) Ward or Conservatee:

Case Number:

(1)
b.

You must pay all court fees in this case from the ward’s or conservatee’s estate, from the date of this
order.

(2)

You must also pay the court $
initially waived after the ward or conservatee was no longer eligible.

from the estate of the ward or conservatee, for fees that were

(a)
(b)

You must pay that amount within 10 days of this order.
You may pay that amount in monthly payments of $

and payable on the first of each month after that until paid in full.

beginning (date):

Fee Waiver Is Retroactively Withdrawn. The court finds that the ward or conservatee was never entitled
to a fee waiver in this case for the reasons stated:

On Attachment 8c

Below

(1)

(2)

You must pay all court fees in this case from the ward’s or conservatee’s estate, from the date of this order.
from the ward’s or conservatee’s estate, for fees that the court

You must also pay the court $
initially waived.

(a)
(b)

You must pay that amount within 10 days of this order.
You may pay that amount in monthly payments of $
and payable on the 1st of each month after that until paid in full.

beginning (date):

Fee Waiver Is Modified. The court finds that you obtained the initial fee waiver in bad faith, for an
improper purpose, or to needlessly increase the costs of litigation. The court places the following limitations
on the fee waiver that was granted to you:

(1)

(2)

You must pay all court fees in this case from the ward’s or conservatee’s estate, from the date of this
order.

The court waives some fees. The fees checked below are waived. You must pay all other court fees.

Filing papers at superior court

Making certified copies

Giving notice and certificates

Sheriff’s fee to give notice

Sending papers to another court department

Court-appointed interpreter fees for a witness

Reporter’s fee for attendance at hearing or trial, if you request that the court provide an official
reporter

Jury fees and expenses

Fees for a peace officer to testify in court

Court-appointed expert’s fees

Court fees for telephone hearings

Other fees (specify):

(3)

Other modifications as ordered:

Below

On Attachment 8d(3)

Revised September 1, 2019

Order on Court Fee Waiver After Reconsideration
Hearing (Superior Court) (Ward or Conservatee)

FW-012-GC, Page 2 of 3

Name of (Proposed) Ward or Conservatee:

Case Number:

e. Other Orders as stated:

Below

On Attachment 8e

Date:

Signature of Judge or Judicial Officer

Clerk's Certificate of Service

I certify that I am not involved in this case and (check one):

I handed a copy of this order to the party and attorney, if any, listed in and , at the court, on the date below.
This order was mailed first class, postage paid, to the party and attorney, if any, at the addresses listed in and ,
2
from (city):

, California, on the date below.

A certificate of mailing is attached.

Date:

Clerk, by ________________________________
Name:

, Deputy

Revised September 1, 2019

Order on Court Fee Waiver After Reconsideration
Hearing (Superior Court) (Ward or Conservatee)

FW-012-GC, Page 3 of 3

Order on Court Fee Waiver After Reconsideration Hearing (Superior Court) (Ward or Conservatee)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 3
Fields(s): 87
Average fields per page: 29
Reading Level: Grade 6
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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f_w_g_c_page_fill_text__2 was FW-012-GC[0].Page1[0].FillText57[0] (0.40 conf)
f_w_g_c_page_fill_text__3 was FW-012-GC[0].Page1[0].FillText56[0] (0.40 conf)
f_w_g_c_page_fill_text__4 was FW-012-GC[0].Page1[0].FillText55[0] (0.40 conf)
f_w_g_c_page_fill_text__5 was FW-012-GC[0].Page1[0].FillText54[0] (0.40 conf)
f_w_g_c_page_check_box__1 was FW-012-GC[0].Page1[0].CheckBox12[0] (0.38 conf)
f_w_g_c_page_fill_text__6 was FW-012-GC[0].Page1[0].FillText42[0] (0.40 conf)
f_w_g_c_page_check_box__2 was FW-012-GC[0].Page1[0].CheckBox10[0] (0.38 conf)
f_w_c_page_stamp_case_info was FW-012-GC[0].Page1[0].Stamp_court_case[0].CourtInfo_ft[0] (0.38 conf)
f_w_c_page_stamp_case_number was FW-012-GC[0].Page1[0].Stamp_court_case[0].CaseNumber_ft[0] (0.36 conf)
f_w_c_page_stamp_case_name was FW-012-GC[0].Page1[0].Stamp_court_case[0].CaseName_ft[0] (0.31 conf)
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f_w_g_c_page_order_cb__1 was FW-012-GC[0].Page1[0].Order_cb[0] (0.37 conf)
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We've done our best to group similar variables togther to avoid overwhelming the user.

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Order on Court Fee Waiver After Reconsideration Hearing (Superior Court) (Ward or Conservatee)

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02